Efficacy of fluorescein angiography assisted occlusion via lateral-orbital keyhole approach in internal carotid bifurcation aneurysms
10.3760/cma.j.cn115354-20210809-00494
- VernacularTitle:荧光造影辅助眶外侧锁孔入路夹闭颈内动脉分叉部动脉瘤的疗效分析
- Author:
Jinwang XU
1
;
Xiguang LIU
;
Aimin LI
;
Fuyuan WANG
;
Weiye SUN
;
Hongwei ZHANG
;
Jinshan LIANG
Author Information
1. 徐州医科大学附属连云港医院神经外科，连云港 222002
- Keywords:
Internal carotid artery aneurysm;
Bifurcation;
Lateral-orbital keyhole approach;
Fluorescein angiography;
FLOW 800
- From:
Chinese Journal of Neuromedicine
2021;20(11):1130-1134
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy and clinical experiences of fluorescein angiography assisted occlusion via lateral-orbital keyhole approach in internal carotid bifurcation aneurysms. Methods:The clinical data of 16 patients with internal carotid artery bifurcation aneurysms admitted to our hospital from January 2016 to December 2020 were retrospectively analyzed. All patients accepted fluorescein angiography assisted occlusion via lateral-orbital keyhole approach. The patients were followed up at one, 3, and 6 months after surgery by medical imaging. The therapeutic efficacy of these patients was assessed by Glasgow outcome scale (GOS). Results:All aneurysms in these 16 patients were clipped at one-stage operation. Intraoperative fluorescein angiography and FLOW 800 showed that the aneurysms were completely clipped without residual, and the blood flow of the parent artery and perforating arteries was unobstructed. Six months after surgery, 14 patients recovered well (GOS scores of 5), and 3 developed limb hemiplegia (GOS scores of 4).Conclusion:Intraoperative fluorescein angiography assisted occlusion via lateral-orbital keyhole approach is safe and effective in internal carotid bifurcation aneurysms.
